Provider First Line Business Practice Location Address:
1101 CAMDEN AVE
Provider Second Line Business Practice Location Address:
HOLLOWAY HALL RM 180
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21801-6860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-543-6262
Provider Business Practice Location Address Fax Number:
410-548-4101
Provider Enumeration Date:
10/05/2006